Laparoscopic exploration for the diagnosis and treatment of abdominal complicated diseases
10.3760/cma.j.issn.1007-5232.2013.07.007
- VernacularTitle:腹腔镜探查对腹部疑难疾病的诊治价值
- Author:
Yanli ZHANG
;
Hongchuan ZHAO
;
Shaoxuan CHEN
;
Shukun YAO
;
Li YAO
- Publication Type:Journal Article
- Keywords:
Laparoscopy exploration;
Abdominal complicated diseases;
Diagnosis
- From:
Chinese Journal of Digestive Endoscopy
2013;30(7):380-382
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinic application effects of laparoscopy in the diagnosis and treatment of abdominal difficult and complicated diseases.Methods The clinical data of 64 cases of agnogenic abdominal diseases underwent laparoscopic exploration and biopsies were retrospectively analyzed.All the patients were difficult cases to diagnose,who have one or more clinical situations,such as abdominal pain,ascites of unknown origin,abdominal mass and intestinal obstruction,and obscure hemorrhage of small intestine.Results Definite diagnosis was made in 62 patients after laparoscopy (96.9％).In patients with ascites,abdominal mass,intestinal obstruction and hemorrhage of small intestine,the definite diagnostic rate were 93.3％,100.0％,100.0％ and 6/6,respectively.The complication rate of laparoscopic exploration was 1.6％ (1/64).Underwent laparoscopic exploration,14 of 64 cases (22％) were treated by operation.Among them,8 cases (8/14) were treated by therapeutic laparoscopy,and other 6 cases (6/14) were treated by abdominal surgery without any comliactions.Conclusion Laparoscopic exploration is safe and effective in diagnosis and treatment of abdominal difficult and complicated diseases.
